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Normally there is approx 25mL of fluid in the pericardial sac. As little as 100-200mL of rapidly accumulating fluid can cause problems with the normal function of the heart
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What is the Functions of pericardial fluid?
Surrounding the heart is a fibrous sac called the pericardium. This sac protects the heart, and is actually composed of two layers: an inner visceral one and an outer parietal one. When the heart moves (i.e. when the heart beats), these two layers move with it. For this to happen, it is important that there is no friction between the two layers of the pericardium, which is why pericardial fluid lines the inner space between the them. Much like oil in an engine, the pericardial fluid makes for less friction between the inner and outer layer of the pericardium.
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Cardiac tamponade is a clinical syndrome caused by the accumulation of fluid in the pericardial space, resulting in reduced ventricular filling and subsequent hemodynamic compromise. The condition is a medical emergency, the complications of which include pulmonary edema, shock, and death. The heart needs room to pump blood since it 'wrings blood' much like wringing water out of a cloth. It needs room for this and the build up of fluid slows or prevents this action.
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